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Individual

DR. BARRY RAYMOND KANOFSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
217 E STATE ST, KENNETT SQUARE, PA 19348-3123
(610) 444-5522
(610) 444-1568
Mailing address
217 EAST STATE STREET, KENNETT SQUARE, PA 19348
(610) 444-5522
(610) 444-1568

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000186
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092639
BLUE CROSS PERSONAL CHOIC
PA
01
0017858
AETNA
PA
01
12941
SPECTERA
PA
01
231896238
BLUE CROSS OF DE
DE
01
232152757
VISION SERVICE PLAN
PA
01
52883
DAVIS VISION
PA
01
PA04683
VISION BENEFITS OF AMERIC
PA
01
PA4683
EYEMED
PA
Enumeration date
07/26/2006
Last updated
09/29/2008
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